OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES AFFIDAVIT FOR A NEW MOTOR VEHICLE DEALER SHOW Section 4517.22 of the Ohio Revised Code (R.C.) Upon approval of the registrar, any group of new motor vehicle dealers licensed under Chapter 4517 of the R.C. may display motor vehicles at a new motor vehicle dealer show (show) within the general market area that has been designated by the show sponsor. NOTE: Only a manufacturer or distributor is permitted to display a single unit new motor vehicle. (An affidavit for a manufacturer display (BMV 4364) or distributor display (BMV 4365) must be submitted.) All affidavits must be accompanied with the List of Dealer Participants form (BMV 4446). SHOW INFORMATION SPONSOR NAME SHOW LOCATION SHOW LOCATION ADDRESS CITY TELEPHONE NUMBER FAX NUMBER STATE E-MAIL ADDRESS START DATE SPONSOR CONTACT PERSON COUNTY ZIP END DATE AS A SHOW REPRESENTATIVE THAT WILL BE HOLDING A SHOW, I AFFIRM THE FOLLOWING: INITIAL An invitation was sent to all new motor vehicle dealers licensed under Chapter 4517 of the R.C. dealing in competitive types of motor vehicles in the designated general market area. The terms of the invitation were reasonable and nondiscriminatory. The show will not last more than ten (10) days, notwithstanding the requirements of R.C. 4517.22 (J). No contracts will be signed, deposits taken, or sales consummated at the show. A copy of each invitation will be retained for one year after the show, and available upon request of the registrar. There will be two (2) or more competitive type new motor vehicle dealers present at all times during the duration of the show. (If you cannot affirm, please answer the question below) INITIAL INITIAL INITIAL INITIAL INITIAL Yes No Is the show being held at the annual fair of a county or independent agricultural society? If you answered "YES" to the above and cannot affirm that there will be two (2) or more competitive type new motor vehicle dealers present for the duration of the show you affirm the following: INITIAL An invitation was sent to all new motor vehicle dealers licensed under Chapter 4517 of the R.C. dealing in competitive types of motor vehicles in the county where the fair is being held. All other requirements as set forth in R.C. 4517.22 have been met, as affirmed above. Only one new motor vehicle dealer licensed under Chapter 4517 of the R.C. has accepted the invitation. INITIAL INITIAL BMV 4445 3/15 [17600983] Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com GENERAL MARKET AREA Provide the contiguous geographical market area that was designated to invite all new motor vehicle dealers dealing in competitive types of motor vehicles. The general market area shall not unreasonably exclude any licensed new motor vehicle dealer. (Attach a clearly marked map showing radius or encircled general market area) NOTE: The general market area designated by the show sponsor does not preclude any participating new motor vehicle dealer from first complying with the designated market area stipulated contractually in their agreement with the manufacturer. Furthermore, any disputes arising due to the dealer's assigned area of responsibility in their contract with the manufacturer will be between them, and the Bureau of Motor Vehicles shall not intervene. I understand that any violations of provisions set forth in 4517.22 of the Revised Code are guilty of a misdemeanor of the fourth degree. I affirm and understand that all statements in the foregoing affidavit and in any attachments submitted are true and correct and that I have the authority to sign this affidavit and to make the statements contained herein and have initialed as required. SIGNATURE OF SPONSOR REPRESENTATIVE DATE OF APPLICATION X PRINT OR TYPE NAME OF SIGNER TITLE NOTARY Subscribed and sworn to before me this county of day of , State of Ohio. in the (SEAL) My commission expires X SIGNATURE MAIL OHIO BUREAU OF MOTOR VEHICLES ATTN: DEALER LICENSING SECTION P.O. BOX 16521, COLUMBUS, OHIO 43216-6521 FAX E-MAIL (614) 752-7220 DPSDLRshows_displays@dps.ohio.gov www.OhioAutoDealers.com BMV 4445 3/15 [17600983] Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com